Covered Entity Details and Address Information

The Covered Entity Details section displays information from the parent hospital and allows you to record any additional information for the outpatient facility.

screen shot of Outpatient Facility Covered Entity Details page

When adding a new outpatient facility using the "Not Found. Add a Facility" option, entry of the organization name and address information is required.

screent shot of Street Address entry page for new outpatient facility

Covered Entity Details and Address Information
Item Description

Sub-Division Name

Type the exact sub-division name of the outpatient facility only. The sub-division name should closely reflect the services being provided on the cost center line being registered.

Specific Clinic or Service

Type the name of the specific clinic or service being registered (e.g., Dermatology, Podiatry).

Outpatient EIN

Type a new EIN if the IRS has assigned one that is different from the parent hospital (otherwise, leave blank).

Outpatient Facility Provider Number

Type a new provider number if different from Medicare Provider Number of the parent hospital. Otherwise, leave blank.

ClosedBilling Address An address verified as belonging to the covered entity that is used for billing purposes. A billing address is not required to be a physical address; it can be a P.O. box or other mailing address. Same as Street Address

Uncheck the box to add a new Billing Address.

ClosedShipping Address An address authorized to receive 340B drugs on behalf of a covered entity parent or child site and registered as such on the 340B OPAIS. Because pharmacies are not permitted to be registered as covered entity sites, they may be listed as shipping addresses of the parent entity or a registered outpatient child site, depending on the locations served by the pharmacy. When registering a new covered entity or a new outpatient facility online, the entity has a choice of listing shipping addresses under either the main entity's registration or the offsite facility's registration. Listing shipping addresses permits all parties to know where 340B drugs may be delivered by the manufacturer and wholesaler. Pharmacies that support multiple outpatient facilities should be listed as shipping addresses under the parent entity. Same as Street Address

Uncheck the box to add a new Shipping Address.

Cancel

Cancel the registration and return to the home page.

Back

Return to the previous page.

Continue

Click this button to proceed.

The system displays the Billing Address data entry fields when the "Billing Address Same as Street Address" box is unchecked.

screent shot of Billing Address page

Add Billing Address Controls
Item Description

Billing Address Same as Street Address

Uncheck this box to add a separate billing address if different from the entity's street address.

Organization
(required)

Type the organization name for this address.

Address

Enter the address information.

Address Line 1, City, State, and ZIP code are required.

Cancel

Cancel the registration and return to the home page.

Back

Return to the previous page.

Continue

Click this button to proceed.

The system displays the Shipping Address data entry fields when the "Shipping Address Same as Street Address" box is unchecked. If there are no shipping addresses on file, the system will prompt to add one.

screen shot of Adding a Shipping Address

Click the + button next to "Add Shipping Address" to display the Shipping Address data fields.

screent shot of Shipping Addresses page for new address

Add Shipping Address Controls
Item Description

Shipping Address Same as Street Address

When this box is unchecked, you can add a new billing address.

Organization
(required)

Type the organization name for this address.

Address

Enter the address information.

Address Line 1, City, State, and ZIP code are required.

Insert

Save the shipping address.

Add Shipping Address

Add another shipping address.

Cancel

Cancel the registration and return to the home page.

Back

Return to the previous page.

Continue

Click this button to proceed.

The system displays the existing shipping addresses when the "Shipping Address Same as Street Address" box is unchecked. If there are no shipping addresses on file, the system will prompt to add one.

A shipping address can be any location to which drugs may be lawfully delivered that is not already registered as a contract pharmacy. Listing of shipping addresses provides covered entities flexibility in where they wish drugs to be shipped and increases transparency of how the covered entity utilizes the 340B Drug Pricing Program.

screen shot of Edit/Delete Shipping Address page

Listing a location as a shipping address does not make that location eligible to use 340B drugs for individuals treated there.

Edit/Delete Shipping Address Controls
Control Description

Edit

Opens the associated shipping address and makes the fields editable.

Delete

Deletes the associated shipping address. You will be prompted to confirm the deletion.

Update

Save changes to the associated shipping address.

Cancel

Cancel the registration and return to the home page.

Back

Return to the previous page.

Continue

Click this button to proceed.

You will see a screen with the list of potential matches if the Zip Code for the newly added facility exactly matches an outpatient facility for the Hospital, then after you click Continue. These matches could be child sites which are either pending approval, approved for participation, already active or terminated. Please review the list of facilities and verify if the new registration for the outpatient facility is a duplicate of any of the existing child entities.

Potential Registration Duplicates window

If the outpatient facility that you have added already exists as a terminated entity, you should initiate the reinstatement for the terminated outpatient facility by selecting the Reinstate button available under the Action column for that record.

If you want to proceed with the new registration, then click on Continue to navigate to the next section. Click Cancel if you want to return to the Covered Entity Details section.